Patient Question
Hello Doctor,
p>I want to know if surgery is my only option and if my surgeon’s assessment aligns with my MRI. The doctor thinks my issue is with the LHB tendon, and the biceps sheath injection improved my pain and movement. He recommends tenodesis surgery with a quick recovery and full motion in days but no heavy lifting. However, my MRI only mentions bursitis and tendinosis, not the LHB tendon. Should I trust the clinical evaluation over the MRI, or is surgery avoidable?
Answered by Dr. Ramadan Mohamed Elsaid Ahmed
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
1. It’s encouraging that the injection improved your pain and movement, suggesting the issue is related to the biceps tendon. While the MRI doesn’t mention the LHB tendon, clinical improvement supports the diagnosis.
2. Surgery isn’t always the first option. Physiotherapy may strengthen the area and improve shoulder mechanics, potentially resolving the issue without surgery.
3. If symptoms persist or worsen, tenodesis surgery could be a definitive solution with a straightforward recovery. Trying physiotherapy first could be worth considering.
Thanks
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